Don a Jannicelli, Pt

NPI #1316013378 in Bloomfield, New Jersey

Provider Information

NPI Number: 1316013378
Entity Type: Organization
Organization Name: Don a Jannicelli, Pt
Primary Specialty: Specialist
Enumeration Date: Nov 28, 2006
Last Updated: Jul 18, 2008

Practice Location

Address: 230 BROAD ST
City: Bloomfield
State: New Jersey
ZIP Code: 07003-2606
Phone: (973) 680-1971

Authorized Official

Name: MR. CHERYL C FRANKOSKI
Title: OFFICE MANAGER
Phone: (973) 680-1971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Specialist	174400000X	Primary

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